| NPI | 1245628916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WHITE Dentist 207-760-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4139) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ME 4199) |
| 1223G0001X Dentist, General Practice (Licence: ME 4386) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |